Individual
GRAYSON OREL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
Mailing address
14017 AUBURN ST, DETROIT, MI 48223-2872
(313) 699-1409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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